Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach

Rubio-Briones, José; Algaba, Ferran|||0000-0002-0071-4164; Gallardo Díaz, Enrique|||0000-0002-1375-3488; Marcos-Rodríguez, José Antonio; Climent, Miguel Ángel|||0000-0001-7523-0212; Gomez-Caamaño, Antonio|||0000-0002-9773-4590; Garcia Vicente, Ana M.; Maroto Rey, Pablo|||0000-0002-0030-0412; Rodríguez Antolín, Alfredo; Sanz, Julián; Vera González, Maria Almudena; González-del-Alba, Aránzazu|||0000-0001-6570-009X; Conde Moreno, Antonio José|||0000-0003-1024-0924; González-Haba, Eva; González-Peramato, Pilar; Linares Espinós, Estefania; López-Beltran, Antonio; Pelechano, Paula; Garrido, Marga; Gironés Sarrió, Regina; Zapatero, Almudena|||0000-0003-2930-2312; Arranz Alija, Jose Ángel

Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach

On the basis of the discussion of the current state of research on relevant topics of non-muscle-invasive bladder cancer (NMIBC) among a group of experts of the Spanish Oncology Gen-itourinary (SOGUG) Working Group, recommendations were proposed to overcome the challenges posed by the management of...

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Autores:	Rubio-Briones, José, Algaba, Ferran\|\|\|0000-0002-0071-4164, Gallardo Díaz, Enrique\|\|\|0000-0002-1375-3488, Marcos-Rodríguez, José Antonio, Climent, Miguel Ángel\|\|\|0000-0001-7523-0212, Gomez-Caamaño, Antonio\|\|\|0000-0002-9773-4590, Garcia Vicente, Ana M., Maroto Rey, Pablo\|\|\|0000-0002-0030-0412, Rodríguez Antolín, Alfredo, Sanz, Julián, Vera González, Maria Almudena, González-del-Alba, Aránzazu\|\|\|0000-0001-6570-009X, Conde Moreno, Antonio José\|\|\|0000-0003-1024-0924, González-Haba, Eva, González-Peramato, Pilar, Linares Espinós, Estefania, López-Beltran, Antonio, Pelechano, Paula, Garrido, Marga, Gironés Sarrió, Regina, Zapatero, Almudena\|\|\|0000-0003-2930-2312, Arranz Alija, Jose Ángel
Tipo de recurso:	artículo
Fecha de publicación:	2021
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:270257
Acceso en línea:	https://ddd.uab.cat/record/270257 https://dx.doi.org/urn:doi:10.3390/cancers13194762
Access Level:	acceso abierto
Palabra clave:	Non-muscle-invasive bladder cancer Microhematuria Transurethral resection Histological variants Molecular subtypes Immunotherapy

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spelling	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approachPractical recommendations from the spanish oncology genitourinary (sogug) working groupRubio-Briones, JoséAlgaba, Ferran\|\|\|0000-0002-0071-4164Gallardo Díaz, Enrique\|\|\|0000-0002-1375-3488Marcos-Rodríguez, José AntonioCliment, Miguel Ángel\|\|\|0000-0001-7523-0212Gomez-Caamaño, Antonio\|\|\|0000-0002-9773-4590Garcia Vicente, Ana M.Maroto Rey, Pablo\|\|\|0000-0002-0030-0412Rodríguez Antolín, AlfredoSanz, JuliánVera González, Maria AlmudenaGonzález-del-Alba, Aránzazu\|\|\|0000-0001-6570-009XConde Moreno, Antonio José\|\|\|0000-0003-1024-0924González-Haba, EvaGonzález-Peramato, PilarLinares Espinós, EstefaniaLópez-Beltran, AntonioPelechano, PaulaGarrido, MargaGironés Sarrió, ReginaZapatero, Almudena\|\|\|0000-0003-2930-2312Arranz Alija, Jose ÁngelNon-muscle-invasive bladder cancerMicrohematuriaTransurethral resectionHistological variantsMolecular subtypesImmunotherapyOn the basis of the discussion of the current state of research on relevant topics of non-muscle-invasive bladder cancer (NMIBC) among a group of experts of the Spanish Oncology Gen-itourinary (SOGUG) Working Group, recommendations were proposed to overcome the challenges posed by the management of NMIBC in clinical practice. A unified definition of the term 'microhe-maturia' and the profile of the patient at risk are needed. Establishing a 'hematuria clinic' would contribute to a centralized and more efficient evaluation of patients with this clinical sign. Second or repeated transurethral resection (re-TUR) needs to be defined, including the time window after the first procedure within which re-TUR should be performed. Complete tumor resection is man-datory when feasible, with specification of the presence or absence of muscle. Budding should be used as a classification system, and stratification of T1 tumors especially in extensive and deep tu-mors, is advisable. The percentage of the high-grade component should always be reported, and, in multiple tumors, grades should be reported separately. Luminal and basal subtypes can be identi-fied because of possibly different clinical outcomes. Molecular subtypes and immunotherapy are incorporated in the management of muscle-invasive bladder cancer but data on NMIBC are still preliminary.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Article de revisióhttp://purl.org/coar/resource_type/c_dcae04bcVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/270257https://dx.doi.org/urn:doi:10.3390/cancers13194762reponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2702572026-06-06T12:50:31Z
dc.title.none.fl_str_mv	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach Practical recommendations from the spanish oncology genitourinary (sogug) working group
title	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
spellingShingle	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach Rubio-Briones, José Non-muscle-invasive bladder cancer Microhematuria Transurethral resection Histological variants Molecular subtypes Immunotherapy
title_short	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
title_full	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
title_fullStr	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
title_full_unstemmed	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
title_sort	Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach
dc.creator.none.fl_str_mv	Rubio-Briones, José Algaba, Ferran\|\|\|0000-0002-0071-4164 Gallardo Díaz, Enrique\|\|\|0000-0002-1375-3488 Marcos-Rodríguez, José Antonio Climent, Miguel Ángel\|\|\|0000-0001-7523-0212 Gomez-Caamaño, Antonio\|\|\|0000-0002-9773-4590 Garcia Vicente, Ana M. Maroto Rey, Pablo\|\|\|0000-0002-0030-0412 Rodríguez Antolín, Alfredo Sanz, Julián Vera González, Maria Almudena González-del-Alba, Aránzazu\|\|\|0000-0001-6570-009X Conde Moreno, Antonio José\|\|\|0000-0003-1024-0924 González-Haba, Eva González-Peramato, Pilar Linares Espinós, Estefania López-Beltran, Antonio Pelechano, Paula Garrido, Marga Gironés Sarrió, Regina Zapatero, Almudena\|\|\|0000-0003-2930-2312 Arranz Alija, Jose Ángel
author	Rubio-Briones, José
author_facet	Rubio-Briones, José Algaba, Ferran\|\|\|0000-0002-0071-4164 Gallardo Díaz, Enrique\|\|\|0000-0002-1375-3488 Marcos-Rodríguez, José Antonio Climent, Miguel Ángel\|\|\|0000-0001-7523-0212 Gomez-Caamaño, Antonio\|\|\|0000-0002-9773-4590 Garcia Vicente, Ana M. Maroto Rey, Pablo\|\|\|0000-0002-0030-0412 Rodríguez Antolín, Alfredo Sanz, Julián Vera González, Maria Almudena González-del-Alba, Aránzazu\|\|\|0000-0001-6570-009X Conde Moreno, Antonio José\|\|\|0000-0003-1024-0924 González-Haba, Eva González-Peramato, Pilar Linares Espinós, Estefania López-Beltran, Antonio Pelechano, Paula Garrido, Marga Gironés Sarrió, Regina Zapatero, Almudena\|\|\|0000-0003-2930-2312 Arranz Alija, Jose Ángel
author_role	author
author2	Algaba, Ferran\|\|\|0000-0002-0071-4164 Gallardo Díaz, Enrique\|\|\|0000-0002-1375-3488 Marcos-Rodríguez, José Antonio Climent, Miguel Ángel\|\|\|0000-0001-7523-0212 Gomez-Caamaño, Antonio\|\|\|0000-0002-9773-4590 Garcia Vicente, Ana M. Maroto Rey, Pablo\|\|\|0000-0002-0030-0412 Rodríguez Antolín, Alfredo Sanz, Julián Vera González, Maria Almudena González-del-Alba, Aránzazu\|\|\|0000-0001-6570-009X Conde Moreno, Antonio José\|\|\|0000-0003-1024-0924 González-Haba, Eva González-Peramato, Pilar Linares Espinós, Estefania López-Beltran, Antonio Pelechano, Paula Garrido, Marga Gironés Sarrió, Regina Zapatero, Almudena\|\|\|0000-0003-2930-2312 Arranz Alija, Jose Ángel
author2_role	author author author author author author author author author author author author author author author author author author author author author
dc.contributor.none.fl_str_mv	Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv	Non-muscle-invasive bladder cancer Microhematuria Transurethral resection Histological variants Molecular subtypes Immunotherapy
topic	Non-muscle-invasive bladder cancer Microhematuria Transurethral resection Histological variants Molecular subtypes Immunotherapy
description	On the basis of the discussion of the current state of research on relevant topics of non-muscle-invasive bladder cancer (NMIBC) among a group of experts of the Spanish Oncology Gen-itourinary (SOGUG) Working Group, recommendations were proposed to overcome the challenges posed by the management of NMIBC in clinical practice. A unified definition of the term 'microhe-maturia' and the profile of the patient at risk are needed. Establishing a 'hematuria clinic' would contribute to a centralized and more efficient evaluation of patients with this clinical sign. Second or repeated transurethral resection (re-TUR) needs to be defined, including the time window after the first procedure within which re-TUR should be performed. Complete tumor resection is man-datory when feasible, with specification of the presence or absence of muscle. Budding should be used as a classification system, and stratification of T1 tumors especially in extensive and deep tu-mors, is advisable. The percentage of the high-grade component should always be reported, and, in multiple tumors, grades should be reported separately. Luminal and basal subtypes can be identi-fied because of possibly different clinical outcomes. Molecular subtypes and immunotherapy are incorporated in the management of muscle-invasive bladder cancer but data on NMIBC are still preliminary.
publishDate	2021
dc.date.none.fl_str_mv	2 2021-01-01 2021 2021-01-01
dc.type.none.fl_str_mv	Article de revisió http://purl.org/coar/resource_type/c_dcae04bc VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/270257 https://dx.doi.org/urn:doi:10.3390/cancers13194762
url	https://ddd.uab.cat/record/270257 https://dx.doi.org/urn:doi:10.3390/cancers13194762
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
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Recent advances in the management of patients with non-muscle-invasive bladder cancer using a multidisciplinary approach

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